Evidence map›Paper›PMID 36779297›Full record

ArticleZoonoses and public health2023

Infrequent intrahousehold transmission of Clostridioides difficile between pet owners and their pets.

Laurel E Redding, Greg G Habing, Vincent Tu, Kyle L Bittinger, Jack O'Day, Preeti Pancholi, Shu-Hua Wang, Andrew Alexander, Brendan J Kelly, J Scott Weese and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Zoonoses and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  6. The Role ofMicroorganisms · 2025
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  10. Genomic Analysis ofMicroorganisms · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 2 countries.

Laurel E ReddingDepartment of Clinical Studies-New Bolton Center, University of Pennsylvania, School of Veterinary Medicine, Kennett Square, Pennsylvania, USA.ORCID 0000-0002-3414-1202
Greg G HabingDepartment of Veterinary Preventive Medicine, The Ohio State University, College of Veterinary Medicine, Columbus, Ohio, USA.
Vincent TuDivision of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Kyle L BittingerDivision of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Jack O'DayDepartment of Veterinary Preventive Medicine, The Ohio State University, College of Veterinary Medicine, Columbus, Ohio, USA.
Preeti PancholiDepartment of Pathology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Shu-Hua WangInfectious Disease Division, Internal Medicine Department, The Ohio State University, College of Medicine, Columbus, Ohio, USA.
Andrew AlexanderDepartment of Pathology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Brendan J KellyDivisions of Infectious Diseases and Epidemiology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
J Scott WeeseDepartment of Pathobiology, University of Guelph, Ontario Veterinary College, Guelph, Ontario, Canada.ORCID 0000-0003-1896-1937
Jason W StullDepartment of Veterinary Preventive Medicine, The Ohio State University, College of Veterinary Medicine, Columbus, Ohio, USA.ORCID 0000-0002-9028-8153
The Ohio State University · USChildren's Hospital of Philadelphia · USThe Ohio State University Wexner Medical Center · USGenesis HealthCare · USOhio Department of Health · USOntario Veterinary CollegeUniversity of Pennsylvania · US

Funding

Impact of pet contact on antimicrobial-associated dysbiosis and Clostridioides difficile infectionK23AI163351 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI Laurel Elizabeth Redding · 2022 to 2026
$896k
NIAID NIH HHS K23 AI163351
6 · The paper itself

Abstract

Companion animals have been shown to carry Clostridioides difficile strains that are similar or identical to strains found in people, and a small number of studies have shown that pets carry genetically identical C. difficile isolates as their owners, suggesting inter-species transmission. However, the directionality of transmission is ultimately unknown, and the frequency with which animals acquire C. difficile following their owners' infection is unclear. The goal of this study was to assess how often pets belonging to people with C. difficile infection carry genetically related C. difficile isolates. We enrolled pet owners from two medical institutions (University of Pennsylvania Health System (UPHS) and The Ohio State University Wexner Medical Center (OSUWMC)) who had diarrhoea with or without positive C. difficile assays and tested their faeces and their pets' faeces for C. difficile using both anaerobic culture and PCR assays. When microorganisms were obtained from both the owner and pet and had the same toxin profile or ribotype, isolates underwent genomic sequencing. Faecal samples were obtained from a total of 59 humans, 72 dogs and 9 cats, representing 47 complete households (i.e. where a sample was available from the owner and at least one pet). Of these, C. difficile was detected in 30 humans, 10 dogs and 0 cats. There were only two households where C. difficile was detected in both the owner and pet. In one of these households, the C. difficile isolates were of different toxin profiles/ribotypes (A+/B+ / RT 499 from the owner, A-/B- / RT PR22386 from the dog). In the other household, the isolates were genetically identical (one SNP difference). Interestingly, the dog from this household had recently received a course of antibiotics (cefpodoxime and metronidazole). Our findings suggest that inter-species transmission of C. difficile occurs infrequently in households with human C. difficile infections.

Indexed as

Clostridioides difficileAnimalsAnti-Bacterial AgentsClostridioidesDogsHumansPetsRibotypingAnti-Bacterial AgentsClostridioides difficilemicrobiotapetszoonosis

Identifiers

PMID36779297
PMCPMC10175142
OpenAlexW4320493110

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.